KRISTI MATHISTAD CADC NPI 1568739548

NPI Information

  • NPI: 1568739548
  • Provider Name: KRISTI MATHISTAD, CADC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1115 B STREET
    PLUMMER, ID
    ZIP 83851
  • Phone: (208) 686-1931

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NPI Details

Kristi Mathistad, CADC is an addiction (substance use disorder) counselor in Plummer, ID. Kristi Mathistad, CADC NPI is 1568739548. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1115 B STREET
PLUMMER, ID
ZIP 83851
Phone: (208) 686-1931
Fax: (208) 686-5813

The enumeration date for this NPI number is 11/19/2011 and was last updated on 11/19/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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